Professional Documents
Culture Documents
Download Sonography Introduction to Normal Structure and Function 3rd Edition Curry Test Bank all chapters
Download Sonography Introduction to Normal Structure and Function 3rd Edition Curry Test Bank all chapters
https://testbankfan.com/product/joint-structure-and-function-5th-
edition-levangie-test-bank/
https://testbankfan.com/product/organic-chemistry-structure-and-
function-8th-edition-vollhardt-test-bank/
https://testbankfan.com/product/structure-and-function-of-the-
body-15th-edition-patton-test-bank/
https://testbankfan.com/product/essentials-of-sonography-and-
patient-care-3rd-edition-craig-test-bank/
Sociology Pop Culture to Social Structure 3rd Edition
Brym Test Bank
https://testbankfan.com/product/sociology-pop-culture-to-social-
structure-3rd-edition-brym-test-bank/
https://testbankfan.com/product/sociology-pop-culture-to-social-
structure-3rd-edition-brym-solutions-manual/
https://testbankfan.com/product/sonography-principles-and-
instruments-9th-edition-kremkau-test-bank/
https://testbankfan.com/product/nderstanding-normal-and-clinical-
nutrition-9th-edition-rolfes-test-bank/
https://testbankfan.com/product/introduction-to-probability-and-
statistics-3rd-edition-mendenhall-test-bank/
Curry: Sonography, 3rd Edition
Chapter 09: The Inferior Vena Cava
Test Bank
MULTIPLE CHOICE
ANS: B
The IVC is considered to have four sections, from superior to inferior: hepatic,
prerenal, renal, and postrenal.
REF: pg. 161 OBJ: Discuss the normal location and course of the IVC.
TOP: Anatomy and physiology
2. From inferior to superior, identify the veins that converge into the IVC.
a. Common iliac veins, lumbar veins, renal veins, and left and right suprarenal
veins
b. Common iliac veins, lumbar veins, renal veins, right gonadal vein, and hepatic
veins
c. Hepatic veins, renal veins, left and right gonadal veins, and left and right
suprarenal veins
d. External iliac veins, left suprarenal vein, right gonadal vein, renal veins, and
hepatic veins
ANS: B
Inferiorly, the IVC is formed by the common iliac veins. Moving superiorly, the
lumbar veins empty into the IVC, followed by the renal veins, right gonadal vein,
and hepatic veins. The left gonadal vein and left suprarenal vein frequently empty
directly into the left renal vein, not the IVC. The right gonadal vein is slightly
superior to the right renal vein and most often empties directly into the IVC as well.
ANS: B
The inferior phrenic veins, the most superior branches of the IVC, drain the
diaphragm.
ANS: C
The normal adult IVC is 2.5 cm in diameter. The diameter increases with the
Valsalva maneuver or inspiration and commonly decreases during expiration.
REF: pg. 163 OBJ: Discuss the normal location and course of the IVC.
TOP: Anatomy and physiology
ANS: D
The venous circulatory system is a low pressure system compared to the arterial
system. The momentum of the blood during systole forces the venous valves to open
as the blood is pushed forward. Also, blood is pulled toward the right atrium by a
decrease in thoracic pressure.
REF: pg. 163 OBJ: Discuss the function of the IVC. TOP: Anatomy
and physiology
6. In a transverse scanning plane image, the left renal vein can be seen as a(n)
a. straight structure posterior to the SMA.
b. axial structure near the left kidney.
c. longitudinal, curvilinear structure anterior to the aorta.
d. oval structure that empties into the medial IVC.
ANS: C
In a transverse scanning plane, the left renal vein is seen as a longitudinal,
curvilinear structure that courses anterior to the aorta and posterior to the SMA and
empties into the IVC.
7. In a sagittal scanning plane, the right renal artery can be seen as a(n)
a. longitudinal, curvilinear structure anterior to the axial IVC.
b. straight structure posterior to the AO.
c. round, short axis structure posterior to the longitudinal IVC.
d. oval structure anterior to the longitudinal IVC.
ANS: C
In a sagittal scanning plane, the right renal artery is seen as a round, short axis
structure posterior to the IVC.
8. Where should the transducer be placed to visualize the common iliac veins?
a. On the right and left groin areas
b. Near the umbilicus
c. At the symphysis pubis
d. None of the above
ANS: B
The common iliac veins are most easily visualized in the transverse scanning plane at
approximately the level of the umbilicus, before they converge to form the IVC.
REF: pg. 165 OBJ: Discuss the normal location and course of the IVC.
TOP: Anatomy and physiology
TRUE/FALSE
ANS: F
The hepatic veins demonstrate nondescript, or “naked,” walls.
ANS: T
The hepatic veins often can be seen in the most superior portion of the liver as
anechoic, linear structures with nondescript walls. They originate in the liver and
empty into the IVC.
3. Echoes thought to be associated with blood flow sometimes can be seen in the
IVC. ____
ANS: T
Small moving echoes often are visualized in the lumen of the IVC.
ANS: F
The IVC sometimes may appear to course through the superior portion of the liver,
but it actually courses posterior to the liver.
REF: pg. 163 OBJ: Discuss the normal location and course of the IVC.
TOP: Anatomy and physiology
5. The hepatic veins can best be seen in the superior section of the liver. ____
ANS: T
The hepatic veins often can be seen in the most superior portion of the liver as
anechoic, linear structures with nondescript walls. They originate in the liver and
empty into the IVC.
ANS: F
The gonadal veins are not consistently imaged with ultrasound.
ANS: T
The renal veins are consistently recognized with ultrasound.
ANS: F
The lumbar veins are not consistently imaged with ultrasound.
ANS: F
The inferior phrenic veins are too small to be readily seen with ultrasound.
ANS: T
The hepatic veins are routinely visualized with ultrasound.
OBJ: Discuss the sonographic appearance of the IVC and commonly visualized
tributaries.
TOP: Sonographic characteristics
11. The left common iliac vein is easily seen on ultrasound. ____
ANS: T
The common iliac veins are most easily visualized with ultrasound.
ANS: T
The hepatic veins are routinely visualized with ultrasound.
COMPLETION
Indicate whether the IVC is posterior (P), anterior (A), medial (M), or lateral (L) to
the structure.
1. Intestines ____
ANS: P
The IVC is posterior to the intestines.
REF: pg. 160 OBJ: Discuss the normal location and course of the IVC.
TOP: Structure orientation
ANS: P
The IVC is posterior to the body of the liver.
REF: pg. 160 OBJ: Discuss the normal location and course of the IVC.
TOP: Structure orientation
ANS: M
The IVC is medial to the right kidney.
REF: pg. 160 OBJ: Discuss the normal location and course of the IVC.
TOP: Structure orientation
4. Aorta ____
ANS: L
The IVC courses to the right of the aorta (right lateral).
REF: pg. 160 OBJ: Discuss the normal location and course of the IVC.
TOP: Structure orientation
ANS: P
The IVC courses posterior to the hepatic veins.
REF: pg. 160 OBJ: Discuss the normal location and course of the IVC.
TOP: Structure orientation
Any other man but Ebner Ford would have turned down the corridor,
dazed and insulted. As for Enoch’s door, it was not the first that had
been slammed in his face. He could recall a long list of exits in his
business career that were so alike in character they had ceased to
make any serious impression upon him. His rule had been to allow
time for the enraged person to cool off, and to tackle him again at the
earliest opportunity—preferably after luncheon, when experience
had taught him men were always in a more genial and approachable
humor.
All of his past interviews, however, had been trivial compared to this
with Enoch. He had entered his office keyed up with confidence and
exuberance, and had backed out of it under the fury of a man who
had laid bare his character and every secret detail of what he chose
to call his “own private affairs”; bad enough when he arrived but ten
times worse now as he realized the man he had to deal with.
Three things, however, were comforting. Enoch’s affirmed respect for
his wife and stepdaughter in regard to the overrent; his open, almost
paternal affection for Sue, and his word that he would give him two
weeks in which to settle with Miss Moulton. As for old Mrs. Miggs, he
decided to send her a check for half the amount out of Miss Ann’s
money and see what would happen.
That he drank his Bourbon alone on the first corner he reached, the
bartender agreeably changing another one of Miss Ann’s dollars,
only helped to sharpen his wits. He stood on the sawdusted floor of
the saloon, at the bar, hemmed in between the patched elbows of a
boatswain’s mate and a common sailor, ruminating over the
overwhelming events of the morning.
Now that he was out of Enoch’s drastic presence and voice, he felt
at his ease, and more so when he had laid another one of Miss
Ann’s dimes on the bar, freshly wiped from the beer spill, and
ordered a second Bourbon.
“Thinks a heap of girlie,” he mused. “Wa’n’t so savage about the
rent, after all.” As he thought of Sue there flashed through his mind
an idea, so sudden that he started, and his small eyes sparkled, so
perfectly logical to him that he grinned and wondered why, during the
whole of the strenuous interview, he had not thought of it before.
Instead, he had clutched at the idea of “Fairview Park,” his entire
acquaintance with its existence dating from a real-estate
advertisement he had read in a newspaper several weeks old, he
adding to its popularity and magnificence by capping the mythical
mansion of the candy king with a mansard roof worth a fortune, and
further embellishing its undesirable acres with the hope of a railroad-
station. Only the air changed in Fairview Park; the rest had lain a flat
failure for years, the home of crows and the sign-boards they
avoided, announcing the best cigar and the cheapest soap.
That Enoch would investigate the truth of his statements gave him
little apprehension. He was certain he had convinced him of his good
faith, building lots and all. What elated him now was his sudden idea
—an inspiration-and his first step in that direction took him out of the
saloon and on his way to see Lamont.
On a crowded corner in Fulton Street a newsboy bawled in his
passing ear:
“Here yer are! Git the extry, boss! All about the big club scandal——”
Ford stopped and glanced at the head-line, “Millionaire Slaps
Clubman’s Face,” and below it saw the face in question.
It was Jack Lamont’s.
CHAPTER XVI
Gossip, that imaginative, swift-footed, and altogether disreputable
slave of Hearsay, who runs amuck, distributing his pack of lies from
one telltale tongue to the next eager ear, rich in clever
exaggerations, never at a loss for more—far-reaching as contagion,
and heralding all else but the truth—seldom affects the poor.
In certain congested, poverty-stricken quarters, it is the basis of their
easy, garrulous language, and as current as their slang or their
profanity. Those who are both poor, humble, and meek are seldom
mentioned—since they do nothing to attract attention. They may be
said to be philosophers. Gossip, stealthy as the incoming tide,
sweeps wide; like the sea’s long, feathery fingers, it spreads with a
rapidity that is amazing. Gossip runs riot in a village. It tears down
streets, runs frantically up lanes, and into houses, short-cuts to the
next, flies around corners, climbs stairs, is passed over neighbors’
fences, seeks out the smallest nooks, is whispered through cracks
and keyholes, and even bawled down cellars—lest there should be
any one left below ground who has not heard the news.
Among those whom riches have thrown laughing into the lap of
luxury and elected to the pinnacles of the most expensive society,
women who move in those fashionable and exclusive circles, where
every detail of their private lives, from their gowns and jewels to their
marriages and divorces, the press so kindly keep the public informed
of—over these gossip hovers like an ill-omened forerunner of
scandal.
Scandal is the prime executioner; when scandal strikes it lays the
naked truth bare to the bone—stark, hideous, undeniable. It takes a
brave woman to stand firm in the face of scandal. Some totter and
fall at the first blow; others struggle to their feet and survive. Some
hide themselves.
There is something so frank and open about scandal that it becomes
terrible—merciless and terrifying in its exposure of plain fact The
hum of gossip may be compared to the mosquitoes, whose sting is
trivial; scandal strikes as sudden as a thunderbolt; it shatters the four
walls of a house with a single blow, and turns a search-light on its
victim in the ruins.
That “Handsome Jack” Lamont should have said what he did to
pretty Mrs. Benton as they met by chance coming out of the theatre,
and that pretty Mrs. Benton’s husband, having gone himself to-night
in search of his carriage, discovered it far down the line, signalled to
his coachman, made his way again through the waiting group of
women in theatre wraps and their escorts, and reached his wife’s
side at the precise moment to overhear Lamont’s quick question to
her, caught even her smiling, whispered promise to him—was
unfortunate. The attack followed.
Before either were aware of his presence, Benton struck Lamont a
stinging blow from behind, knocking off his hat. As he turned, Benton
struck him again—two very courageous blows for so short a little
man, red with rage and round as a keg. Pretty Mrs. Benton, who was
tall and slim—an exquisite blonde—screamed; so did several women
in the group about them, falling back upon their escorts for protection
—but by this time, Lamont had the enraged little man by the
shoulders and was shaking him like a rat, denouncing his attack as
an outrage, demanding an apology, explaining to him exactly what
he said, that nobody but a fool could have construed it otherwise,
that he was making himself ridiculous. Pretty Mrs. Benton also
explaining, and both being skilful liars in emergency, the dramatic
incident closed, to the satisfaction of the two stalwart policemen, who
had strolled up, swinging their long night-sticks—recognized Benton,
the millionaire, as being too wealthy to arrest, and Lamont as an old
friend of their chief at headquarters—dispersed the crowd with a
“G’wan now about yer business”; waited until the lady and her still
furious husband were safe in their carriage; shouted to the
coachman to move on, and a moment later followed Lamont around
the corner, where he explained the affair even more to their
satisfaction. In their plain brogue they thanked him, and expressed
their admiration over the skill with which he had pinioned the excited
arms of the little man; that admiration which is common among men
at prize-fights when the better of the two antagonists refuses to give
the final knockout to the weaker man.
“Sure ye had him from the first!” they both agreed.
It had all happened quickly. By the time Lamont left the two
patrolmen the theatre was dark and the doors locked for the night.
Let us discreetly draw down the dark-blue silk shades of the Benton
equipage upon the scenes that ensued on their way home. Let us
refrain from raising them even an inch to catch sight of the pretty
face of the now thoroughly indignant though tearful lady, or the
continued tirade of her lord and master, as they rumbled over the
cobbles.
Was she not lovely and convincing in her grief—and—and purely in
the right? How preposterous to think otherwise! To disagree with an
angel! Heavens! Was she not blond and adorable? Bah! How silly
husbands are! What a tempest in a teapot they make of nothing—to
misconstrue the simplest and most innocent of questions and the
most natural of whispered replies into high treason! Did not Benton
owe Mr. Lamont the most abject of apologies? Of course. He owed a
still deeper apology to Mrs. Benton for “mortifying her beyond
words.” Innocence in the hands of a brute! A lily in the grip of a
brigand! She who had given all to him—her love—her devotion—
could he doubt her for an instant? Had he ever doubted her? Had
she ever been jealous of him? How lucky he was to have a wife like
her. Henceforth he could go to the theatre alone—forever—nightly—
as long as he lived—and stay there until he died.
Passionately, with a sharp cry of contempt, she slipped off her
marriage ring, and flung it away forever on the floor of the brougham,
where he groped for it out of breath, and returned it to her
imploringly, seizing her clenched hand and begging her to let him
restore it to its rightful finger. That he restored it finally came as a
reward for a score of humble promises, including his entire belief in
her innocence, and the meekest of confessions that his undying love
for her alone had been responsible for his uncontrollable jealousy.
Her slim, satin-slippered foot still kept tapping in unison to her
beating heart, but victory was hers. It shone in her large blue eyes, in
the warm glow overspreading her delicate cheeks, her lovely throat
and neck. Her whole mind exulted as she thought of “Jack.” How she
would pour out to him in a long letter all of her pent-up heart. She
could hardly wait for morning to come in which to write it, upon the
faintly scented paper he loved, and which he could detect in his box
at the club among a dozen others by its violet hue.
After all, what had Lamont said to have raised all this tragic row? To
have been struck like a common ruffian in the public street, before
the eyes of people he knew, and several of whom he had dined with
—or hoped to—and for what?
Nine of the simplest words, all told, were what Benton had
overheard, and not a syllable more. Lamont’s quick question, “At
three, then?” and her smiling, whispered promise: “No—at three-
thirty, impatient child.”
What could have been more innocent? Has a gentleman no right to
hurriedly ask the time—and be sweetly chided for his impatience?
Far better had he refrained and discreetly sent her a note by some
trusted servant to her dressmaker’s (for he kept tally of her “fittings”)
—far better—one of those brief notes, whose very telltale briefness
reads in volumes. They are always typical of serious affairs.
Alas! the affair had only begun. The two patrolmen recounted the
incident on their return from their “beat” to the sergeant at the desk,
interspersing their narrative with good-humored laughter and some
unprintable profanity.
“’Twas him,” they said, referring to Benton. They expatiated on his
riches and the good looks of his wife, emphasized their own
magnanimity in refusing to arrest, and covered Lamont’s level,
handsome head with a wreath of glory—all to the delight of a young
reporter hanging around for an instalment, and eager to “make good”
with his night editor.
In little less than two hours the whole story was on the press—that
most powerful gossiper in the world! Needless to say, it printed the
story to a nicely—a giant high-speed press, capable of thousands of
copies an hour. It even took the trouble to fold them in great
packages, which were carried on the shoulders of men and thrown
into wagons, that dashed off to waiting trains, which in turn rushed
them to distant cities.
It made the young reporter’s reputation, but it nearly ruined pretty
Mrs. Benton’s, and brought Jack Lamont before the public eye by a
wide-spread publicity he had never dreamed of.
Needless to say, too, that the unfortunate lady did not write the note
the next morning; she became prostrated and lay in a darkened
room, and could see no one by her physician’s orders—not even her
enraged husband.
Let us pass over the heartrending details which ensued—of her
return to her mother; of their long talks of a separation, providing it
could be obtained without pecuniary loss to the injured daughter.
Both of them, you may be sure, held Benton wholly responsible—or,
rather, irresponsible, being unfit for any woman to live with, owing to
his ungovernable jealousy.
Poor Phyllis! She was born much too beautiful, with her delicate skin
like a tea-rose, and her fine, blond hair, that reached nearly to her
knees, and when up and undulated left little stray wisps at the nape
of her graceful, white neck. She should never have married a man
like Benton—round like his dollars. What a stunning pair she and
Jack Lamont would have made! But what a dance he would have led
her! Lucky he was to have the wife he had, who forgave him
everything and paid his debts and lived her own life, which was
eminently respectable, firm in her devotion to her charities, and as
set in her opinions at her women’s clubs—a small, pale woman with
large, dark eyes—a woman whom he seldom saw, never
breakfasted with, and rarely lunched or dined with at home, since he
came and went as he pleased; now and then they met at a
reception, now and then at a tea, his cheery “Hello, Nelly,” forcing
from her a “Hello, Jack,” that convinced every one around them they
were still the best of friends. Even the account of this latest affair of
his in the papers did not surprise her. For a day or two she was
annoyed by reporters, but her butler handled them cleverly, and they
went away, no wiser for having come. Not a word of reproach to her
husband passed Mrs. Lamont’s lips. If there was any money needed
over the affair, she knew Jack would come to her; further than that,
she refused to let the matter trouble her.
Nothing could have been more convincing than Lamont’s side of the
affair in the afternoon papers. This remarkable document from the
pen of a close club friend of his—a talented journalist—was
satisfactory in the extreme. It not only evoked public sympathy for
the injured lady, but put her insanely jealous husband in the light of a
man who was not responsible for his actions, and should not be
allowed to walk abroad, unless under the care of an attendant. As for
Mr. Lamont, he had done nothing or said a word that might have
been misconstrued to warrant so scandalous an attack. The same
thing might have happened to any gentleman whom common
courtesy had led to speak to a woman of his acquaintance on
leaving the theatre, and further went on to state that “Mr. Lamont’s
many virtues were vouched for by his host of friends; his fairness as
a sportsman, and his popularity in society being too widely known to
need further comment.” Lamont remained sober until he had read it;
then he went on the worst spree in ten years.
The last we saw of Ebner Ford was when he glanced at the extra
announcing the scandal. He who rarely bought a paper, bought this.
He handed the newsboy a nickel, waited impatiently for his change,
and leaped up the Elevated stairs, reading the account.
He read as he ran, glancing at Lamont’s portrait framed in an oval of
yacht pennants and polo-mallets, with a horseshoe for luck crowning
them all. He threw another nickel on the worn sill of the ticket
window, received a coupon from a haggard ticket-seller, and kept on
reading while he waited on the drafty station at Fulton Street for an
up-town train. Nothing could have happened to better further his
idea. Was not his friend Lamont in trouble? What better excuse to
call on him and express his sympathy? He began as he boarded the
train to frame up what he would say to him. “Sympathy first and
business afterward,” he said to himself. How he would come to him
gallantly as a friend—slap him on the back and cheer him up. “Help
him ferget—all them little worries”—and having gotten him
sufficiently cheered, talk to him man to man over his little scheme.
He told himself that there was not a chance in a thousand of its